RIVER VALLEY PRIMARY CARE SERVICES NPI 1992212013

NPI Information

RIVER VALLEY PRIMARY CARE SERVICES is a federally qualified health center (fqhc) clinic center in Waldron, AR. RIVER VALLEY PRIMARY CARE SERVICES NPI is 1992212013. The provider is registered as an organization entity type.
The provider Is Doing Business As Waldron Family Clinic.

The provider's business location address is:

2074 RICE ROAD
WALDRON, AR
ZIP 72958
Phone: (479) 635-5300

The provider's authorized official is Jerome J White .
The authorized official title is Executive Director and has the following contact phone number (479) 635-0091.

The CLIA number assigned to this NPI record is 04D2142818 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/10/2018 and was last updated on 2/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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